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https://www.readbyqxmd.com/read/29916283/emphysematous-pyelonephritis-and-cystitis-a-case-report-and-literature-review
#1
Shengxian Li, Jixue Wang, Jinghai Hu, Liang He, Chunxi Wang
This present case report describes a 64-year-old female patient with type 2 diabetes mellitus who also had emphysematous pyelonephritis (EPN) and emphysematous cystitis (EC). Computed tomography revealed well defined emphysematous pyelonephritis and cystitis. Broad-spectrum antibiotic and percutaneous drainage of the right kidney were used as part of a conservative management regimen. The patient achieved clinical recovery and was discharged 12 days after admission. Furthermore, 13 other cases of EPC and EC that were reported between 1962 and 2017 were reviewed and discussed...
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29915920/successful-treatment-of-isolated-bile-leakage-after-hepatectomy-combination-therapy-with-percutaneous-transhepatic-portal-embolization-and-bile-duct-ablation-with-ethanol-a-case-report
#2
Norio Kubo, Norifumi Harimoto, Kei Shibuya, Norihiro Ishii, Mariko Tsukagoshi, Takamichi Igarashi, Akira Watanabe, Kenichiro Araki, Masaya Miyazaki, Hiroyuki Kuwano, Ken Shirabe
BACKGROUND: Bile leakage after hepatectomy still causes relatively serious problems, and some types of bile leakage are intractable. CASE PRESENTATION: We report a case of postoperative isolated bile duct leakage managed successfully by combination therapy of percutaneous transhepatic portal vein embolization (PTPE) and bile duct ablation with ethanol. A 61-year-old man diagnosed with hepatocellular carcinoma underwent partial hepatectomy. On postoperative day 1, bile leakage was detected at the drainage tube...
June 19, 2018: Surgical Case Reports
https://www.readbyqxmd.com/read/29915631/non-operative-management-of-type-2-ercp-related-retroperitoneal-duodenal-perforations-a-9-year-experience-from-a-single-center
#3
Vasileios Theopistos, Georgios Theocharis, Christos Konstantakis, Panagiotis Kitrou, Ioannis Kehagias, Christos Triantos, Konstantinos Thomopoulos
Background: No consensus exists on treatment of endoscopic retrograde cholangiopancreatography (ERCP) -related, retroperitoneal duodenal perforations. The aim of this study is to determine the incidence of post-ERCP retroperitoneal periampullary (type 2) duodenal perforations and the clinical outcome of non-surgical management. Methods: Patients who underwent ERCP in our institution during the period from January 1, 2009 to December 31, 2017 were included. Any cases of retroperitoneal periampullary duodenal (type 2) perforation were identified...
June 2018: Gastroenterology Research
https://www.readbyqxmd.com/read/29915483/anastomotic-failure-in-colorectal-surgery-where-are-we-at
#4
REVIEW
Vinna An, Raaj Chandra, Matthew Lawrence
Anastomotic leak (AL) can be a devastating complication in colorectal surgery. While it is less frequent in the modern era, it still results in significant morbidity and mortality, prolonged hospital stays and increases the costs and demands on health services. There is inevitable interplay between patient physiology and technical factors that predispose a patient to AL. Obesity, preoperative total proteins, male gender, ongoing anticoagulant treatment, intraoperative complication and number of hospital beds have been identified as independent risk factors...
April 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29911073/metabolic-characterization-of-peripheral-host-responses-to-drainage-resistant-klebsiella-pneumoniae-liver-abscesses-by-serum-1h-nmr-spectroscopy
#5
Zhihui Chang, Hairui Wang, Beibei Li, Zhaoyu Liu, Jiahe Zheng
Purpose: To explore the metabolic characterization of host responses to drainage-resistant Klebsiella pneumoniae liver abscesses (DRKPLAs) with serum 1H-nuclear magnetic resonance (NMR) spectroscopy. Materials and Methods: The hospital records of all patients with a diagnosis of a liver abscess between June 2015 and December 2016 were retrieved from an electronic hospital database. Eighty-six patients with Klebsiella pneumoniae ( K. pneumoniae ) liver abscesses who underwent percutaneous drainage were identified...
2018: Frontiers in Cellular and Infection Microbiology
https://www.readbyqxmd.com/read/29903511/non-inferiority-of-open-passive-drains-compared-with-closed-suction-drains-in-pancreatic-surgery-outcomes-a-prospective-observational-study
#6
Giovanni Marchegiani, Giampaolo Perri, Alessandra Pulvirenti, Elisabetta Sereni, Anna Maria Azzini, Giuseppe Malleo, Roberto Salvia, Claudio Bassi
BACKGROUND: Policies concerning the management of operatively placed drains after pancreatic surgery are still under debate. Open passive drains and closed-suction drains are both used currently in clinical practice worldwide, but there are no reliable data regarding potential differences in the postoperative outcomes associated with each drain type. The aim of the present study was to compare open passive drains and closed-suction drains with regard to postoperative contamination of the drainage fluid and overall morbidity and mortality...
June 11, 2018: Surgery
https://www.readbyqxmd.com/read/29902958/life-threatening-pancreatitis-in-jehovah-s-witness-patients-with-severe-anemia-treated-without-transfusions-and-by-interventional-radiology-techniques
#7
Patrick Kishi, Eric vanSonnenberg, Misa Stroker
Blood transfusions in anemic patients frequently are used for critically ill patients as a life-saving therapeutic maneuver. Jehovah's Witness (JW) patients typically refuse blood transfusions due to religious beliefs. Numerous clinical reports, in a wide spectrum of medical specialties, have shown no greater morbidity or mortality in JW patients or others who refused transfusions compared to those patients who accept transfusions. We report our experience with two JW patients who presented with severe anemia and life-threatening pancreatitis...
January 1, 2018: Journal of Intensive Care Medicine
https://www.readbyqxmd.com/read/29902086/use-of-percutaneous-bleomycin-sclerotherapy-for-orbital-lymphatic-malformations
#8
Adam M Hanif, Justin A Saunders, C Matthew Hawkins, Ted H Wojno, Hee Joon Kim
PURPOSE: Bleomycin sclerotherapy has been shown to be a viable treatment for lymphatic malformations. However, its use for these lesions confined to the orbit is becoming increasingly documented in the literature. In this study, we summarize the clinical manifestations and outcomes observed following percutaneous bleomycin sclerotherapy for orbital lymphatic malformation. METHODS: A 5-year retrospective chart review of patients with clinical, radiographic, and/or biopsy-confirmed diagnoses of orbital lymphatic malformation that received bleomycin sclerotherapy was conducted at the Emory Hospital and Clinics...
June 14, 2018: Orbit
https://www.readbyqxmd.com/read/29901309/-current-prospects-for-improving-the-quality-of-life-of-patients-with-internal-stents
#9
A G Martov, D V Ergakov, A B Novikov
Internal drainage of the upper urinary tract by stenting is a common urological procedure. The use of stenting in modern urological practice is on the rise due to widespread adoption of modern endourological, laparoscopic, percutaneous and high-tech robotic interventions. The presence of a stent in the patients body may cause stent-related symptoms and negatively affect the quality of life, resulting in additional outpatient visits and hospitalizations. The review provides an analysis of the causes, diagnostic evaluation, prevention and treatment of stent-related symptoms...
May 2018: Urologii︠a︡
https://www.readbyqxmd.com/read/29901292/-subcapsular-renal-hematomas-after-ureteroscopic-lithotripsy
#10
B G Guliev, B K Komyakov, A Yu Zaikin
INTRODUCTION: Renal hematomas (RH) are a rare complication of retrograde endoscopic lithotripsy (REL). This study aimed to investigate the incidence and causes of RH after REL in patients with ureteral stones of different locations. MATERIALS AND METHODS: From 2001 to 2016, 1214 REL were performed at the Urology Clinic of the Mechnikov NWSMU. The analyzes of patients who had RH after REL included the following parameters: age, gender, history of upper urinary tract (UUT) surgery and concomitant diseases (diabetes mellitus, hypertension), the baseline kidney function, the stone characteristics and the degree of hydronephrosis observed in the postoperative period, results of laboratory tests, ultrasound and spiral computed tomography (SCT) of the kidneys...
May 2018: Urologii︠a︡
https://www.readbyqxmd.com/read/29898912/giant-choledochal-cyst-presenting-during-third-trimester-of-pregnancy
#11
Jesus Morales-Maza, Jorge Humberto Rodríguez-Quintero, Sonia Cortés-Vázquez, Luis Cruz-Benítez
Biliary cystic disease is a rare entity. Twenty-five per cent of cases are diagnosed during adulthood and only a few reports have described this condition during pregnancy, where it represents a therapeutic challenge for both obstetricians and surgeons with regard to the risks it entails for the patient and the fetus.Definitive management is surgical resection, as cysts may progress to malignancy if untreated. During pregnancy, resection is generally deferred to after delivery, especially in the context of suspected cholangitis...
June 13, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29896580/two-cases-of-bronchobiliary-fistula-case-report
#12
Jae Ryong Shim, Sung-Sik Han, Hyung Min Park, Eung Chang Lee, Sang-Jae Park, Joong-Won Park
A bronchobiliary fistula, or a biliobronchial fistula (BBF), is a rare condition. It results from an abnormal connection between the biliary and bronchial trees, and is characterized by pathognomonic bilious sputum with suspicious pneumonia. Traditionally, an infectious disease, such as a hydatid infection, has been known to cause a BBF, but BBFs have recently become associated with tumors. In every case, procedures and treatments differ between centers, from simple conservative management to invasive surgical procedures...
May 2018: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/29896575/sclerosing-encapsulating-peritonitis-after-living-donor-liver-transplantation-a-case-series-kyoto-experience
#13
Vusal Aliyev, Shintaro Yagi, Ahmed Hammad, Amr Badawy, Yudai Sasaki, Yuki Masano, Gen Yamamoto, Naoko Kamo, Kojiro Taura, Hideaki Okajima, Toshimi Kaido, Shinji Uemoto
Sclerosing encapsulating peritonitis (SEP), or abdominal cocoon is a rare cause of intestinal obstruction, and still etiology remains unknown. We report a series of 4 patients with abdominal cocoon, and all the 4 patients had previously undergone living-donor liver transplantation (LDLT). There was no evidence of SEP before and during LDLT. At the time of diagnosis of SEP, 3 out of 4 patients had ascites. First and fourth patients had multiple episodes or attacks of cholangitis, which were managed by percutaneous transhepatic biliary drainage and hepaticojejunostomy, respectively...
May 2018: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/29896570/extracapsular-excision-of-hepatic-hemangioma-a-single-centre-experience
#14
Amol Kanetkar, Shubham Garg, Shraddha Patkar, Rajesh S Shinde, Mahesh Goel
Backgrounds/Aims: Hepatic hemangioma is a common non-epithelial neoplasm of the liver. Presence of symptoms and uncertainty in diagnosis are the most common indications for surgery. Methods: Eighteen patients with hepatic hemangioma, operated on from January 2011 to December 2016 at the Hepato-pancreato-biliary surgical unit of Tata Memorial Hospital, were retrospectively analyzed. Results: Main indications for operation were presence of symptoms, the most common being pain and diagnostic uncertainty...
May 2018: Annals of Hepato-Biliary-Pancreatic Surgery
https://www.readbyqxmd.com/read/29882101/preliminary-report-of-percutaneous-cholecystostomy-as-diagnosis-and-treatment-of-biliary-tract-trauma
#15
Jean-Baptiste Cazauran, Arnaud Muller, Baptiste Hengy, Pierre-Jean Valette, Laurent Gruner, Olivier Monneuse
BACKGROUND: Biliary leak following severe blunt liver injuries is a complex problem becoming more frequent with improvements in non-operative management. Standard treatment requires main bile duct drainage usually performed by endoscopic sphincterotomy and stent placement. We report our experience with cholecystostomy as a first minimally invasive diagnostic and therapeutic approach. METHODS: We performed a retrospective analysis of consecutive patients with post-traumatic biliary leak between 2006 and 2015...
June 7, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29872897/complex-biliary-leaks-effectiveness-of-percutaneous-radiological-treatment-compared-to-simple-leaks-in-101-patients
#16
Charles Mastier, Pierre-Jean Valette, Mustapha Adham, Jean-Yves Mabrut, Olivier Glehen, Thierry Ponchon, Pascal Rousset, Agnès Rode
PURPOSE: To assess the effectiveness of percutaneous radiological treatment for complex biliary leaks compared to simple biliary leaks. MATERIALS AND METHODS: We retrospectively analyzed 101 percutaneous treatments for bile leak performed from January 1994 to January 2012. Sixty (59%) bile leaks were classified as simple and 41 (41%) as complex based on a morphological classification that considered eight types of biliary wound on cholangiography images. The main treatment was percutaneous transhepatic biliary drainage (PTBD), and additional procedures were performed when required...
June 5, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29872885/endoscopic-biliary-drainage-management-for-children-with-serious-cholangitis-caused-by-congenital-biliary-dilatation
#17
Bin Sun, DongHai Yu, Ji Chen, YongHui Tang, Han Wu
Congenital biliary dilatation (CBD) is usually associated with complications such as recurrent cholangitis, manifested as abdominal pain, vomiting, and jaundice. If cholangitis cannot be controlled by conservative treatment, a good therapeutic effect can be obtained through percutaneous biliary drainage or open T-tube drainage. We aimed to evaluate our experiences in biliary drainage through endoscopic retrograde cholangiopancreatography in children with cholangitis caused by CBD. From January 2014 to December 2017, 167 children with CBD were treated in our hospital...
June 5, 2018: Pediatric Surgery International
https://www.readbyqxmd.com/read/29864089/outcomes-after-minimally-invasive-versus-open-pancreatoduodenectomy-a-pan-european-propensity-score-matched-study
#18
Sjors Klompmaker, Jony van Hilst, Ulrich F Wellner, Olivier R Busch, Andrea Coratti, Mathieu D'Hondt, Safi Dokmak, Sebastiaan Festen, Mustafa Kerem, Igor Khatkov, Daan J Lips, Carlo Lombardo, Misha Luyer, Alberto Manzoni, Izaäk Q Molenaar, Edoardo Rosso, Olivier Saint-Marc, Franky Vansteenkiste, Uwe A Wittel, Bert Bonsing, Bas Groot Koerkamp, Mohammed Abu Hilal, David Fuks, Ignasi Poves, Tobias Keck, Ugo Boggi, Marc G Besselink
OBJECTIVE: To assess short-term outcomes after minimally invasive (laparoscopic, robot-assisted, and hybrid) pancreatoduodenectomy (MIPD) versus open pancreatoduodenectomy (OPD) among European centers. BACKGROUND: Current evidence on MIPD is based on national registries or single expert centers. International, matched studies comparing outcomes for MIPD and OPD are lacking. METHODS: Retrospective propensity score matched study comparing MIPD in 14 centers (7 countries) performing ≥10 MIPDs annually (2012-2017) versus OPD in 53 German/Dutch surgical registry centers performing ≥10 OPDs annually (2014-2017)...
June 1, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29863123/management-of-complicated-diverticulitis-of-the-colon
#19
REVIEW
Toru Tochigi, Chihiro Kosugi, Kiyohiko Shuto, Mikito Mori, Atsushi Hirano, Keiji Koda
Diverticular disease of the colon occurs quite frequently in developed countries, and its prevalence has recently increased in Japan. The appearance of diverticulosis increases with age, although mostly remaining asymptomatic. Approximately 20% of cases require treatment. As the Western lifestyle and number of elderly people increase, the need for medical treatment also increases. Computed tomography (CT) is the gold standard for diagnosing diverticulitis. Complicated diverticulitis is classified by the size and range of abscess formation and the severity of the peritonitis...
January 2018: Annals of gastroenterological surgery
https://www.readbyqxmd.com/read/29862113/cholecystoduodenal-stenting-an-option-in-complicated-acute-calculous-cholecystitis-in-the-elderly-comorbid-patient
#20
Brady Chapman Bonner, Nicholas I Brown, Varghese Pynadath Joseph, Manju Dashini Chandrasegaram
We describe the course of an 84-year-old lady with acute calculous cholecystitis. She was unable to have a cholecystectomy due to multiple comorbidities including morbid obesity, type 2 diabetes, Guillain-Barrè syndrome, chronic sacral pressure ulcer, and severe cardiac disease. Conservative treatment with intravenous antibiotics was initially successful; however, she subsequently re-presented with an empyema of the gallbladder. She was readmitted for further intravenous antibiotics and underwent percutaneous gallbladder drainage...
2018: Case Reports in Surgery
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